While performing the screening programme for colorectal cancer in Denmark, some cases of adenomas have been found. By histological analysis they were shown to be lymphomas. In this case report, two such cases are described. Screening is the subject of much debate. These cases are relevant because they showthat malignant diseases, which the program was not designed to identify, were found. When debating screening it should be taken into consideration, that secondary diseases, with the potential for earlier diagnostics and potentially better prognosis may be detected.This case report describes a 56-year-old male asphalt worker who was admitted to the emergency department after a work accident, where a pipe exploded and splashed 160 °C hot bitumen over his face and hands. Bitumen is the black adhesive component in asphalt, and it is soluble in oil. It was successfully removed with sunflower oil without damaging the skin. The patient only got a second-degree burn on his left hand and first-degree burns on the right hand and face. He was discharged three days after admission, and there was no durable injury.Vast amounts of resources have been invested in electronic health records (EHRs) to improve productivity, quality and patient safety. Systematic reviews of the current empirical research into the effects of EHR systems show that the hopes and promises of digitisation are largely unrealised. As pointed out in this review, there are several possible reasons for these disappointing results, including bad systems design, inappropriate configuration, poor organisational implementation and too little focus on complementary innovations. Realising the potentials of EHRs calls for longstanding efforts from multiple stakeholders.Blue naevus is a rare lesion on genital mucosa and may cause confusion in differential diagnosis with other pigmented lesions. In this case report, a 39-year-old man presented with a sudden onset in adulthood of blue naevus on the glans penis. A biopsy confirmed the diagnosis. Due to the unusual presentation, the onset and the risk of turning invasive, a careful examination was performed in order to minimise any risk of misclassification with melanoma. Afterwards, the patient was followed in a dermatologic department every six months. To our knowledge, only few similar cases have been described in literature.Lentigo maligna melanoma (LMM) is the most common subtype of melanoma in the face. In this case report, a 95-year-old woman had a patch of dark hair growing out of her white hair on her scalp. A punch biopsi confirmed the diagnosis of LMM. The unusual in this case is the finding of melanocytic hair growth with no obliteration of follicles in the affected area. As described, obliteration of follicles is usually seen in histology when lentigo maligna progresses. To our knowledge, no similar cases have been described in literature.A 77-year-old woman had a history of mantle cell lymphoma, splenechtomy and rituximab-treatment. https://www.selleckchem.com/products/Nutlin-3.html For six months she had fever, night sweats and weight loss. Thorough investigations did not reveal the cause of the fever, and empiric antibiotics had no effect. Eventually she developed an erythema nodosum-like rash on both legs. A biopsy was sent for 16S rRNA PCR, which was positive for Candidatus Neoehrlichia mikurensis. She was treated with doxycycline with resolution of all symptoms. This is the first case report of neoehrlichiosis in Denmark, and the first case diagnosed on a skin biopsy.Dyspnoea is cardinal symptom in chronic obstructive lung disease and common in palliative phases of cancer and other chronic medical diseases. Low-dose opioids is frequently used off-label. This review examines the evidence and safety as well as administration forms and pharmacokinetics using low dose opioids for dyspnoea. Conclusively, there seems to be clinical efficacy although further studies are needed. Furthermore, the authors recommend Danish Medical Agency to legislate low-dose morphine to palliative patients with refractory dyspnoea.Tachycardia, atrial fibrillation and premature ventricular contractions can trigger a reversible cardiomyopathy, which can result in clinical heart failure. The diagnosis is retrospective and based on recovery of left ventricular ejection fraction following appropriate arrhythmia management. The arrhythmia can be fully or partly responsible for the reduced ejection fraction depending on coexisting structural heart disease. Early and aggressive treatment targeting the arrhythmia as described in this review, is important to prevent complications including persistent pathophysiological changes.Traditional β-lactam antibiotic dosing does not consider physiological changes in medical conditions such as sepsis. Optimal antibiotic exposure could be achieved by therapeutic drug monitoring (TDM). This review gives a brief summary. Current studies are sparse, but suggestive of a potential beneficial role of TDM to patients with reduced renal function, obese patients and the critically ill. TDM can potentially reduce adverse effects and optimise antibiotic exposure. However, standardised TDM methods are lacking and randomised clinical studies are warranted in order to prove clinical benefit.Cardiac CT has become a frequently used diagnostic modality in Denmark, especially for the evaluation of coronary artery disease indicated by angina pectoris/dyspnoea. Indications have recently expanded to include evaluation of valvular heart disease, pre- and post-procedural evaluation related to several invasive procedures as well as some congenital and pediatric cardiac conditions. As described in this review, improved image quality and reduced radiation, owing to technological advances as well as a high number of well-performed scientific studies, have paved the way for this development.Many techniques have been described for breast reconstruction after mastectomy, and in many cases a significant reduction of the contralateral breast is needed for symmetry. This is a case report of a single-stage secondary breast reconstruction after mastectomy using the excided tissue from the contralateral reduced breast based on the perforant vessels of the internal thoracic artery. We used this technique in a 62-year-old woman with a hypertrophic contralateral breast, who had undergone mastectomy due to breast cancer. It is the first time, this technique has been described in Denmark.